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Nationwide rates for HCPCS 19086

Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; each additional lesion, including magnetic resonance guidance (List separately in addition to code for primary procedure)

Facilitymedian $2,570 · 10th–90th $269–$8,3180%10%10th90th$2,570Professionalmedian $490 · 10th–90th $78–$1,4130%10%20%10th90th$490$0.0$0.2$2.0$20.0$200.0$2.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$436.52 / $2,344.23 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $478.63 / $1,412.54
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,862.09 / $5,495.41 / $13,489.63
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $602.56 / $1,412.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151.36 / $1,862.09 / $5,370.32
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $575.44 / $1,621.81
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$302.00 / $1,202.26 / $3,630.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $524.81 / $1,348.96

See more rates by state

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